HEALTHCARE ESTATES 2022 KEYNOTES
health, age, and admission, was, he said, ‘neither linear nor inevitable’. He added: “We thus need a new paradigm of care, which focuses on health creation, disease prevention, and much more personalised care, supported by a workforce with more generalist skills, working in multidisciplinary teams, and providing much more joined- up care. Claire Fuller’s report sets out that direction incredibly clearly.”
Transformative factors? The other key drivers of change were ‘science, data, digital, and technology’. Aspects such as remote consultations, and remote surveillance and support driving ‘virtual wards’, decision-making tools, machine learning and Artificial Intelligence, and precision medicine, would all ‘have a tremendous impact’. To what extent they would be transformative was an interesting question, but Sir David said he thought they would – ‘for many different reasons’. Health Education England had – he explained – asked Professor Sir John Tooke to analyse the impact that science, technology, and digital, would have on clinical care provision. One of his conclusions had been that technology will ‘provide clinicians with a gift of time, augmenting, rather than replacing, professionals’. Sir David Behan explained that on visiting universities, one of his questions to both undergraduate and postgraduate courses was: ‘How far does the debate about technology, digital, and data, influence your undergraduate and postgraduate clinical curriculums?’ He said: “It’s very interesting how we’re creating space to ensure that the clinicians we’ll require in 15 years’ time are prepared for the future. One of my questions, though, is: ‘Are we preparing clinicians for today’s needs, and for the world of work they will enter when they graduate and begin to operate?’” Technology and digital would, he believed, ‘change the nature of the relationship between those of us receiving care and those of us providing care’, with citizens being ‘much more empowered’.
New roles emerging Among the new roles he believes will emerge are those for data analysts, data scientists, bioinformatics, and biostatisticians, while there will also be a key requirement for healthcare engineers and healthcare architects. Here, focusing on ‘what people would want from a healthcare service in the future’, he said: “I’ve already said we need a much greater focus on health creation; how do we work to keep people healthy and well? How do we develop an approach where science and technology will emphasise, much more, the relationships between clinician and citizen?, and how do we develop much more joined-up and integrated care,
January 2023 Health Estate Journal 23
personalised around the individual?” He believes preventative and interventional surgery will become increasingly common. One of the as yet less well-rehearsed
debates was about how the world of work was changing, and how future generations’ expectations about work were altering similarly. Sir David said his children were ‘millennials’, whose standpoint on the optimal work / life balance was very different to his, and who, while caring just as much about their work, were not necessarily prepared to make the same trade-offs. He added: “It’s now all about how much flexibility we will offer in the way we employ people. Future generations will want much more. Equally, doing something that’s genuinely interesting to them will be much more important to them.”
Contact with universities Sir David Behan explained that his role as Chair of Health Education England
brought him into regular contact with universities. He said: “I was at Surrey University last week, looking at the inspiring educational and teaching work they’re doing using AI. One of the questions I’ve been asking is: ‘What will a university look like and offer in 15 years’ time, with artificial intelligence, virtual reality and assisted reality, and blended learning?’ ” His view was that AI would make education ‘much more bespoke’. He explained: “You’re not going to do things because the course requires you to if you’ve already done them on a prior degree.” Some universities would have more people undertaking medical degrees over four years, having already obtained a previous degree. AI would, he believed, ‘help emphasise what people are good at, what they’re less good at, and what they need to focus on’, and the areas they need to develop, ‘in a much more personalised way’. He asked, rhetorically: “So, how do
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